Written by a leading proponent of the philosophy and ethics of healthcare, this volume is filled with thought-provoking and frequently controversial ideas and arguments. Accessibly written, it provides readers with a timely contribution to the current literature on medical ethics, in which the concept of subjectivity is a key issue characterizing current medical humanities. Examining the critical assumption that scientifically-demonstrable facts will remove all uncertainty, the author argues that ethical dimensions of clinical practice do not always arise from undisputed facts, but that they are sometimes to be found at the level of the determinations of the facts themselves. Firmly placing the patient back on centre stage, without underestimating the crucial role which science plays in modern medicine, this volume is an excellent account of ethics and science in healthcare and their proper place in assessing and meeting people's health needs.

Organ transplantation has been one of the miracles of modern-day medicine but, in addition to presenting enormous technical and clinical challenges, it throws up major ethical and legal issues principally from the perspective of the donor. Evolving capabilities in the spheres of both organ and tissue transplantation, coupled with rapidly-escalating demand, assert consistent and critical pressure on our ethical and legal principles and frameworks, including the expansion of the potential donor pool beyond the conventional categories of donor. This volume brings together seminal papers analyzing such matters in the context of an ever-increasingly important area of clinical practice.

Extreme Prematurity examines the controversial issues surrounding the clinical management of this group of neonates by the intervention of modern neonatal intensive care. The foregoing of life-sustaining treatment is of particular importance. The subject matter is very relevant because of the alarming increase in multiple and preterm births, due to the increase in women who are undergoing assisted reproductive procedures, and the large increase in premature labor. No recent book covers the subject in such comparable breadth. The first section of this very timely monograph covers the epidemiology and practices in different parts of the world; the second section covers bioethics considerations, including ethical theories, moral principles and quality of life issues; the third section covers national and international guidelines; the last section covers medical law aspects in the US and around the world.

The Data Protection and Medical Research in Europe: PRIVIREAL series focuses on the 'Privacy in Research Ethics and Law' EC-funded project examining the implementation of Directive 95/46/EC on data protection in relation to medical research and the role of ethics committees in European countries. The series consists of five separate volumes following the complete development of the PRIVIREAL project. This volume relates to the first stage of the project regarding the implementation of the Data Protection Directive, in particular in the area of medical research. It contains an introduction and overview of this topic, keynote papers addressing specific questions on the subject, and a report on both the general implementation of the Directive and the implementation in relation to medical research in 26 European countries. The book will be invaluable for those people with an interest in data protection, medical research and their implications for each other. It lays open the actual situation across Europe, including both New Member States and Newly Associated Member States.

This volume features a collection of the most important articles on the social, ethical and legal implications of a variety of problems caused by AIDS. The wide range of articles selected for inclusion were chosen on the basis of three criteria: their theoretical depth and coherence, their impact on the subsequent debate and on the social and ethical relevance of the problems addressed. Sections in the book include: physicians and patients, AIDS and the law, HIV testing, clinical research in developed countries, clinical research in developing countries and dying with dignity

The curator of the Museum of Questionable Medical Devices shares his collection of hilarious, horrifying, and preposterous medical devices that have been foisted upon the gullible in their quest for good health. These modern-day snake oil salesmen, with their dubious devices, have preyed on the medically ignorant with ridiculous and sobering results. From the Prostate Gland Warmer to the Retro Rotor, from the Nose Straightener to the Wonder Electro Marvel, these implements reveal the desperate measures sought for magic cures. With period advertisements, promotional literature, and gadget instructions, this book offers a wealth of past -- and present -- medical fraud.

What you really need to know about risk management, clinical governance, law and ethics... Now completely revised and updated Making Sense of Risk Management: a workbook for primary care breaks down complex issues and presents them in an easily comprehensible manner. Addressing current issues such as the new GP Contract and the rapid rise in litigation, this new edition takes on a more rigorous approach but maintains the same light-hearted style with more detailed and definitive guidance. The format makes use of tips, warnings, tables, exercises and think boxes providing an informative, interesting and engaging read. All primary care staff including General Practitioners, managers, nurses, health visitors, administrative staff and receptionists will find this book invaluable.

In diesem Buch werden Ursprung, Entwicklung und Bedeutung des Laborantenwesens und des Olitatenhandels im Thuringer Wald vom Beginn des 17. bis zum Ende des 19. Jahrhunderts untersucht. Neben der Betrachtung der wirtschaftlichen Verhaltnisse und der Situation im Rahmen der Medizinalgesetzgebung bestimmen medizinsoziologische Aspekte sowie insbesondere die Analyse pharmazeutischer Fakten und deren Einordnung in naturwissenschaftstheoretische Konzeptionen die ebenso breite wie differenzierte Darstellung dieses laienpharmazeutischen Gewerbes, die unsere Kenntnisse uber die Geschichte der arzneilichen Therapie des 'gemeinen Mannes' um eine Reihe neuer Facetten bereichert. Die kritische Auswertung von bislang unveroeffentlichtem Quellenmaterial aus Archiven und privaten Sammlungen fuhrte dabei nicht zuletzt zu einer Korrektur fruherer inadaquater Einschatzungen, so dass die Untersuchung zugleich den aktuellen Forschungsstand auf diesem Gebiet wiedergibt.

Reproductive donation is the most contentious area of assisted reproduction. Even within Europe there are wide variations in what is permitted in each country. This multi-disciplinary book takes a fresh look at the practices of egg, sperm and embryo donation and surrogacy, bringing together ethical analysis and empirical research. New evidence is offered on aspects of assisted reproduction and the families these create, including non-traditional types. One of the key issues addressed is should children be told of their donor origin? If they do learn the identity of their donor, what kinds of relationships may be forged between families, the donor and other donor sibling families? Should donation involve a gift relationship? Is intra-familial donation too close for comfort? How should we understand the growing trend for 'reproductive tourism'? This lively and informed discussion offers new insights into reproductive donation and the resulting donor families.

Highly Commended, BMA Medical Book Awards 2014 Comprehensive and erudite, Forensic Psychiatry: Clinical, Legal and Ethical Issues, Second Edition is a practical guide to the psychiatry of offenders, victims, and survivors of crime. This landmark publication has been completely updated but retains all the features that made the first edition such a well-established text. It integrates the clinical, legal, and ethical aspects of forensic psychiatry with contributions from internationally regarded experts from a range of clinical professions. The Second Edition features updates to all current chapters and several new chapters that explore: * The genetics of antisocial behavior * Disorders of brain structure and function that relate to crime * Offenders with intellectual disabilities * Older people and the criminal justice system * Deviant and mentally ill staff Although the book focuses on jurisdictions in the UK, a substantial comparative chapter written by an international group from all five continents explores the different philosophies, legal principles, and style of services elsewhere. This book is an essential reference for specialists and postgraduate trainees in forensic psychiatry but also for general psychiatrists, and clinical and forensic psychologists. It is also an invaluable resource for other forensic mental health professionals, including nurses, social workers, occupational therapists, probation service staff, police, attorneys, criminologists, and sociologists.

"Why did the defendant do it?"

Mental health professionals are asked to help courts answer this question. To serve justice, the law calls for evidence of the mental state at the time a crime is committed, of suicide intent in civil litigation, and of mental capacity in contract litigation. The law asks psychiatrists and psychologists to retrospectively determine mental states -- a daunting task made even more difficult by the passage of time, the uncertain credibility of witnesses, the paucity of collateral sources of information, and often the death of the person in question.

This is the first book dedicated entirely to the retrospective assessment of mental states. This fascinating book explores the role of the psychiatrist and psychologist, as an expert witness in litigation, in rendering a retrospective judgment of an individual's mental state. Distinguished contributors apply their expertise in psychiatry, psychology, and the law to address the problems of retrospective assessment. With the goal of developing guidelines for more accurate retrospective assessment of mental states, they present topics such as - Guidelines for conducting retrospective assessments in children and adults - Guidelines for the retrospective assessment without benefit of direct examination - Assessments of suicide cases in both civil and criminal litigation- Psychological testing and interviewing techniques that may assist in retrospective assessment - Methods and analysis to help clinicians and attorneys critically evaluate the search for "truth" about the past.

This remarkable book will prove indispensable for helping clinicians, lawyers, and judges better understand the complex and difficult process of retrospective reconstruction of mental states.